MEDICARE: JOSHUA MCFARREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1952515793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MCFARREN

Provider Business Mailing Address
First Line	:	5800 WALNUT AVE APT 1B
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-6006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17W580 BUTTERFIELD RD
Second Line	:
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4028
Country	:	US
Telephone Number	:	630-889-8125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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Directions to “ JOSHUA MCFARREN ” Practice Location

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